One stitch, two stitch, it will be fun! - the obstetrician used to say with a needle at the feet of a happy woman in labor. For some, this black humor becomes not a funny reality and causes a lot of trouble and trouble. We will tell about situations that inspire obstetricians to take up the needle, ways fast healing and pain relief.

When stitches are applied and the causes of ruptures

Childbirth does not always go smoothly and sometimes you have to pay for the happiness of having children. birth trauma- ruptures and incisions of the genital tract, on which external and internal sutures are applied after childbirth. Injuries are internal - tears on the cervix and vagina, and external - tears and incisions in the perineum.

After a natural birth, the obstetrician necessarily checks for gaps and, if detected, they are sutured. Otherwise, if suturing is not carried out, postpartum period threatens to end up in a hospital bed due to bleeding in the injured tissues and the attachment of infection to them, and in the future even provoke prolapse internal organs and urinary and fecal incontinence.

The process of applying external and internal seams lasts a long time and requires a highly qualified doctor, and in case of ruptures on the cervix, passing to the vagina and uterus, and some virtuosity due to the inaccessibility and danger of damage to the nearby Bladder and ureters.

Internal sutures after childbirth on the cervix, vagina and the uterus itself are superimposed using absorbable threads from biological or semi-synthetic material. If only the cervix is ​​affected, then anesthesia is usually not required - after childbirth, it is insensitive. In all other cases, local or general anesthesia is used - anesthesia or epidural anesthesia.

The muscle layers in case of tears and cuts of the perineum are also sutured with absorbable threads, and the skin is often made of non-absorbable silk, nylon and other materials that are removed in the maternity hospital or in antenatal clinic usually 3-7 days after delivery, when the suture is scarred. The procedure is quite painful and therefore anesthesia is required during execution.

The reasons for the gaps can be different. This is not following the advice of an obstetrician during the straining period, and the presence of scars from sutures imposed in previous births (the scar consists of an inelastic connective tissue), rapid, prolonged, premature and instrumental labor (forceps), anatomical features pelvic structure, large head in a child, breech presentation, low skin elasticity at the time of delivery.

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Attitude to episiotomy - dissection of the perineum, obstetricians are different. For some, this is a routine procedure that is applied en masse to avoid the risk of perineal rupture. Other doctors strive to make the birth process as natural as possible, intervening when it is already quite clear that a rupture cannot be avoided. If instrumental childbirth is performed with forceps or a vacuum extractor, then a preliminary dissection of the perineum is recommended.

Episiotomy does not help to avoid grade 3 tears when the anal sphincter is involved in perineal integrity and may even contribute to such injury. Nevertheless, surgical incision has a number of advantages over rupture. Dissected tissues are technically easier to take in than torn ones. The resulting wound has smooth edges, healing occurs faster and a more aesthetic scar is formed.

Healing and suture treatment

It is regrettable, but what happened happened, and as a result, after giving birth, you got stitches. At internal seams, if the suturing procedure is performed correctly and carefully, it hurts for about 2 days. special care they do not require and do not need to be removed, since they are made of absorbable thread.

Self-absorbable sutures after childbirth from natural material - catgut completely dissolve in about a month, and from synthetic - after 2-3 months. Internal heal faster and can disperse in extremely rare and exceptional cases.

Quite another matter - the outer seams of the crotch. With such a postpartum reward, it is painful to move around, it is problematic to go to the toilet and it is absolutely impossible to sit down due to the fact that the seams can disperse.

Ban on sitting position works for two weeks, after which you can gradually try to sit on hard surfaces.

If catgut sutures were placed on the perineum, then you should not be afraid if pieces of threads that have fallen off appear after a week - during this period the material loses its strength and breaks. The seams will not disperse, unless, of course, they start dancing. How long the material will absorb depends on the speed metabolic processes in organism. Sometimes there are cases when the catgut did not resolve even six months after suturing.

What to do when the inner or outer seam has parted after childbirth

Sutures from a non-absorbable thread from the perineum are removed 3-7 days after childbirth. If this was not done in the maternity hospital, then the removal of the stitches is carried out by the gynecologist in the antenatal clinic. During the removal procedure itself, it is a little unpleasant, but in most cases it does not hurt, or the pain is quite tolerable.

How long stitches heal after childbirth is affected by the individual speed of healing of damage received by the body - both from small scratches and from more serious injuries.

Usually this process does not take more than a month, but on average it takes 2 weeks.

Both before and after the removal of sutures, it is necessary to regularly treat them. This is especially important because postpartum discharge and constantly moist environment of the perineum contribute to the multiplication of various microorganisms on the wound surface. As a result, the sutures can fester and healing will be delayed indefinitely.

How and how to handle stitches after childbirth at home? Also, as in the maternity hospital, you need to carry out treatment two to three times a day antiseptic solutions and/or antibacterial ointments that suppress uncontrolled growth causing inflammation bacilli Most available funds- this is the well-known brilliant green, hydrogen peroxide, potassium permanganate, chlorhexidine, etc. From ointments - levomekol, etc. Processing should be carried out, avoiding a sitting position.

If you provide air access to the perineum, then healing will go much faster. To do this, you need to use "breathable" pads made of natural materials and refrain from wearing tight underwear. Perfect option- providing "ventilation" during sleep, when you can completely abandon underwear and sleep on a special absorbent diaper, or an oilcloth with a regular cloth diaper.

To speed up regeneration, it is also necessary good nutrition supplying construction material to the site of injury. From folk remedies accelerates healing oil tea tree, sea ​​buckthorn oil. And of course, hygiene rules and cleanliness are only welcome on the way to quick healing.

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How to ease the pain

In the process of suture healing, tissue contraction occurs - the wound surfaces are reduced, and the wound is closed with a scar. Therefore, it is quite normal that the stitches hurt after childbirth, like any other injury that violates the integrity of muscle and epithelial tissues. Discomfort - Pain and itching in the perineum can be experienced up to 6 weeks postpartum.

If the pain is of a different nature, and even more so when suppuration of the sutures has begun, you should consult a doctor.

If the pain is severe, which happens in the first days after childbirth, then applying cold to the perineum, painkillers can help to cope with it. In the maternity hospital they give injections, at home you can take ibuprofen (Nurofen), which is not contraindicated in case of breastfeeding and has an anti-inflammatory effect. To reduce the pain during urination, you can try to urinate while standing in the bathroom, legs apart.

What to do if the seams come apart

Rarely, but it happens that the seams partially or completely diverge. This can happen due to weight lifting, early start sexual intercourse after childbirth, sudden sitting down and other awkward sudden movements, increased pressure on the genitals with constipation.

At the birth of a child through natural ways doctors sometimes have to resort to a perineotomy or an episiotomy, which is an incision in the tissue from the vaginal opening back toward the rectum or at an angle to the midline. Stitches on the perineum after childbirth require special attention doctors and the young mother's compliance with some recommendations.

Read in this article

Why are stitches

Perineotomy is an operation that protects the mother and helps the child to be born. In the second stage of labor, excessive stretching of the tissues of the perineum may occur, there is a threat of its rupture. This happens in such cases:

• high crotch;
• tissue stiffness in women giving birth for the first time after 30 years;
• scars after previous births;
• the position of the child during childbirth, when he is facing the perineum with his forehead or face (extensor presentation);
• the use of obstetric forceps or vacuum extraction of the fetus;
• large fruit;
• rapid childbirth;
• premature eruption of the head with improper delivery by a midwife.

A straight-edged incision heals better than a tear. Therefore, a dissection of the perineum is performed, followed by suturing after the birth of the child. Wound suturing is performed for its speedy healing.

Precautions in behavior after the incision

The length of tissue dissection is about 2-3 cm; after suturing, the incision heals quickly. To prevent this process from slowing down and becoming more complicated, a young mother should take some precautions:

• on the first day after childbirth, you should only lie down;
• it is allowed to stand and walk already from the second day, for example, a woman should eat at a special high table, which is in the dining room of the maternity hospital;
• you can sit only 3 days after the removal of the stitches or 2 weeks after the birth, first on chairs and only then on soft bed or sofa;
• feed the newborn should be lying on the bed;
• properly care for the perineum;
• avoid constipation;
• wear cotton non-tight underwear.

When are stitches removed after childbirth? This usually happens a week or earlier after the baby is born. Thus, a woman should be careful in the first 14 days of the postpartum period.

If the sutures are applied using a bioabsorbable material, then they do not need to be removed. The woman is sent home to usual terms, synthetic threads in the incision area disappear completely after a few weeks. Nodules disappear within 2 weeks after birth.

Proper care of the intimate area and seams

How to handle stitches on the perineum after childbirth? Applications of special antiseptics not required. After visiting the toilet, a woman should wash herself with warm boiled water from the perineum to the anus and dry the skin with a clean cloth or paper towel. After washing, it is recommended to lie on the bed for some time without a pad, so that the area of ​​\u200b\u200bthe seams dries well.

It is also necessary to change at least every 2 hours postpartum pads to prevent infection.

When performing these simple tips an incision in the perineum is not dangerous. After it, only a small scar remains. If it was imposed cosmetic seam, then traces of it are practically invisible.

Usage medicines suture care is required when healing is slow or complications develop. These drugs must be prescribed by a doctor. Treatment with chlorhexidine, hydrogen peroxide is usually used, ointments are less often recommended - Levomekol, Vishnevsky Ointment, Solcoseryl, products with panthenol.

Recovery Exercises

To speed up tissue repair, you can perform special exercises. It should be remembered that before the removal of the stitches, it is impossible to carry out exercises with abduction (breeding) of the legs.

In the first two days, exercises are performed lying in bed. They include leg curls ankle joints and then in the knees. In the future, raising the pelvis with support on bent legs joins. Useful and breathing exercises. The duration of the lessons is 15 minutes.

In the following days, gymnastics is performed while standing and its duration increases to 20 minutes. Turns and shallow torso bends, standing on toes, light squats are added. Periodic contraction of the sphincter of the anus during the day and attempts to temporarily stop the stream of urine during urination are shown. Such exercises help to restore blood supply to tissues and speed up healing.

Causes of divergence of seams

In some women, however, there is a divergence of the seams after suturing the incision of the perineum. The reason for this is the woman's non-compliance with the recommendations on the regimen:

• getting out of bed early;
• prolonged sitting during the first week after childbirth;
• incorrectly performed exercises during gymnastics.

In addition, the seams diverge when the postoperative wound becomes infected.

Symptoms to watch out for

If a woman has pain in her stitches after giving birth, she should tell her doctor. This is one of the main symptoms of non-healing wounds. In addition, signs of trouble can be:

• bleeding from the incision;
• a feeling of fullness in the perineum;
• tissue swelling;
• fever, chills, weakness;
• purulent discharge;
• formations under the skin in the form of tubercles or cones.

In all these situations, it is necessary to contact the antenatal clinic. Otherwise, the sutures will hurt for a very long time, and after the wound has healed, the deformation of the walls of the vagina and perineum will remain.

Methods for correcting abnormal skin fusion

The perineum is usually sutured with two rows of sutures: the first is superimposed on the muscles, and the second on the skin. If only the superficial suture has parted, measures are taken to prevent infection (treatment with chlorhexidine, hydrogen peroxide, brilliant green and other antiseptics), re-suturing is not carried out.

If a woman really has an entire seam open, then the cause is usually purulent inflammation. In this case, there is severe pain, fever, purulent discharge. In this case, it is necessary to urgently consult a doctor, it is likely that surgical treatment of the wound will be required.

With a significant deformation remaining after a parted deep seam, it is further shown.

So, stitches on the perineum after childbirth are superimposed for the speedy healing of the tissue incision. Subject to the rules of care and careful attitude of a woman to her health, her well-being quickly returns to normal. If disturbing symptoms appear, you should seek help from a gynecologist.

It's by feeling painful induration coming almost from the commissure of the labia more often to the side and back, rarely exceeding 2-3 cm in length. In the first days they rub very much, causing a lot of suffering, after removing them you will feel relief. Sometimes a cosmetic intradermal suture is applied, it is not felt and is easier to bear.

Why do stitches hurt after childbirth?

Because it is a sutured wound that appeared as a result of a rupture or incision of the perineum. After a week, you will be much better, but you will fully recover in about 8 weeks, or even six months ...

Let's figure out what suturing is, how they are applied and how further woman treat.

Internal - superimposed on ruptures of the cervix and vagina, usually do not hurt and do not require any special care. They are superimposed from absorbable materials, they do not need to be removed, they do not need to be processed either, there is no need to smear or douche, you just need to ensure complete sexual rest for at least 2 months, because here they are in far from ideal conditions.

In order for the wound to heal well, it needs rest and asepsis. Neither one nor the other can be fully provided, the mother will still have to get up to the child, she will have to walk. It is impossible to apply any bandage in this area, and postpartum discharge creates a breeding ground for microbes, which is why it is quite common for the sewn places to diverge.

You can sew up the perineum using different methods and materials, but almost always these are removable options (they will need to be eliminated for 5-7 days). Most often, if everything goes well, they are removed even in the hospital, before discharge.

Processing of sewn places in the maternity hospital is carried out by a midwife. This can be done both on the examination chair and right in the ward. Usually treated with brilliant green 2 times a day. In the first two weeks, the pain is very pronounced, it is difficult to walk, and it is forbidden to sit, mothers feed lying down, eat either standing or lying down.

After removing the surgical threads and discharge from the hospital, the woman will not be able to sit normally for almost a month. At first, you can only sit sideways on hard, and even from the hospital you will have to return reclining in the car in the back seat.

How long do stitches heal after childbirth?

At least 6 weeks you will feel discomfort in the area where the perineum was torn. Yes, and care at first will have to be very thorough.

Stitch care after childbirth

- Self-absorbable options in the vagina and in the cervix do not need special care.

External threads require careful care. Their imposition is most often done in layers, using removable material.

After applying them, you will have to wash yourself after each visit to the toilet. clean water with the addition of potassium permanganate, and dry the crotch thoroughly with a clean towel.

Pads will need to be changed very often as the wound needs dryness. While you are in the hospital, the midwife will perform the treatment.

Removing the threads is a painless procedure, which largely eliminates discomfort.

In the first days, it will be necessary to delay the first stool as much as possible, especially with ruptures of the 3rd degree, in the future it will be called using candles.

It will be necessary for some time to refrain from cereals and bread, vegetables and other stool-stimulating foods. Usually this does not cause big problems, since a cleansing enema is performed before childbirth, which in itself is able to delay stool.

The divergence of suturing most often occurs in the first days or immediately after their removal, rarely later. The reason may be early sitting down, sudden movements, as well as such a complication as suppuration. This is an uncommon complication that occurs with serious breaks perineum, 2-3 degrees.

If there is inflammation, redness, sharp pains in the perineum, premature removal of the perineal rupture-retaining material before the wound is completely healed is not good, because this forms a rough scar. How to treat the wound, the gynecologist will tell you.

If early period went well, healing is proceeding without complications, after discharge from the hospital, only hygienic measures will be required. Perhaps Bepanten or another softening and healing ointment will be recommended.

When do stitches heal completely after childbirth?

On average, discomfort disappears after 2 weeks, but sex will be unpleasant for at least 2 months after the birth of the child. During healing, a scar is formed, which somewhat narrows the entrance to the vagina, making sex painful.

The choice of the most painless pose, which is different for each couple, and the use of ointments against scars, for example, contractubex, will help to cope with this.

Strange sensations in the vaginal area can bother you for quite a long time, up to six months. However, in the future, they completely resolve.

When to suspect that something is going wrong:

- If you have already been discharged home, and the sutured area is bleeding. Sometimes bleeding occurs as a result of wound dehiscence. You will not be able to fully examine yourself on your own, so hurry back to the doctor.

If internal stitched wounds hurt. Normally, after suturing vaginal tears, there may be small pain 1-2 days, but they pass quickly. A feeling of heaviness, fullness, pain in the perineum may indicate the accumulation of hematoma (blood) in the area of ​​damage. This usually happens in the first three days after childbirth, you will still be in the hospital, report this feeling to your doctor.

Sometimes suturing fester after discharge from the hospital. At the same time, a painful swelling is felt in the wound area, the skin here is hot, a high temperature may rise.

In all these cases, you should not think on your own how to smear the wound, you need to urgently contact a gynecologist.

The question of how many stitches heal after childbirth is of interest to many mothers. If there are stitches, a woman must take some precautions. Proper handling and proper care of the seams will quickly get rid of discomfort.

The main reasons for the appearance

During the resolution of the burden, the young lady often receives a certain amount of microtrauma. Some microtraumas do not cause serious discomfort to a woman and heal for 15-21 days. But in the event of more serious injuries, the doctor is forced to fasten the tissues with special sutures. The seams must be carefully looked after, otherwise there is serious risk various complications.

There are 2 reasons for suturing. The doctor applies a suture in case of trauma to the cervix or in case of an incision in the perineum.

The way the seams look can be seen in the photo.

Perineal rupture occurs when:

• timeless delivery;
• rapid delivery;
• breech presentation fetus;
• risk of perineal rupture.

They matter and physiological features woman's crotch. Also, the rupture of the perineum is due to the fact that the woman in labor is straining in the presence of serious contraindications.

The main purpose of an obstetric perineal incision should be considered to facilitate the passage of the fetus through the cervix. Also, a perineal incision is needed to stop the risk of injury to the baby's head.

When the incision of the perineum is carried out with a scalpel, the edges of the errors do not have. Therefore, the seam does not heal very long. If the seam after an obstetric incision of the perineum has uneven edges, then it heals for a long time.

How long does it take to heal?

Most new mothers are interested in the question of what day the stitches heal. The day the stitches heal depends on the set various factors. A huge role is played by the technique of suturing. The materials involved in the manufacture of the seams are also taken into account. Today, the postpartum suture is made using metal staples, self-absorbable and non-absorbable materials.

The doctor can answer the question of when the postpartum sutures approximately heal. On average, the discomfort disappears when the sixth week expires. Painful sensations often pass when the first week expires.

If absorbable material was used in the manufacture of sutures, then healing occurs after 7-14 days. Postpartum sutures themselves dissolve after about 30 days. If the sutures were made with metal staples, they do not dissolve. It is customary to remove them three to seven days after the relief from the burden.

If they are small, then their healing occurs after 14 days. If they were large enough, then healing occurs only after 2-3 months.

There are three types postpartum sutures:

• internal;
• outdoor;
• self-absorbable.

Internal localized on internal tissues. Internal sutures are applied only when there is damage to the cervix. Also, such a suture is applied when the vaginal walls are injured. Internal seams are considered the safest and usually do not need maintenance. But if they hurt for three to five days, then the woman is obliged to disturb her doctor.

External are usually superimposed after caesarean section. The procedure is carried out under local anesthesia. They usually hurt for 14-20 days.

Self-absorbable superimposed in case of trauma to the cervix or vagina. Often they resolve on their own, but in some cases they have to be removed. Self-absorbable sutures are made using vicryl, lavsan and catgut threads. The resorption time varies from thirty days to 4 months.

Causes of pain

Some young ladies complain that they are in pain for several months. The stitches hurt or itch when a woman has to sit or lift weights often and for a long time. You can get rid of pain if you reduce the weight of things lifted and, if possible, sit on only one buttock.

Often they hurt and itch if there are problems with the stool. Often the pain syndrome accompanies constipation. You can get rid of it by reviewing your diet. During the lactation period, a woman should consume as much warm, thoroughly boiled milk as possible. You can also drink green tea and herbal infusions.

A woman may complain that she is in pain during sex. This is due to the presence of a load on the perineum. You can get rid of pain with a moisturizing gel. It is necessary to make lotions until the unpleasant symptoms disappear completely.

Also, a newly-made mother may complain that she is in pain if there is an inflammatory process in the tissues. What can and should be done at the same time, only a gynecologist should suggest. Doing anything without his knowledge is strongly discouraged.

Sometimes a woman complains of severe pain. Often this is due to the fact that the seam has come apart. This is enough dangerous state. Determine for yourself what the seam came apart, impossible. Internal seams "spread" extremely rarely.

The fact that the seam has come apart, in addition to pain syndrome, are evidenced by the following signs:

• the appearance of specific secretions;
• fabric color change
• the appearance of other external symptoms.

The way the "spread" seam looks is clearly visible in the photo.

What is help?

Correct seam processing is of great importance. The procedure is usually carried out in a antenatal clinic. You can smear them with a diamond solution and potassium permanganate.

You can also process them yourself. What should be used, the doctor will tell you. Most often, self-treatment of seams is carried out using:

• Levomekol;
• Chlorhexidine;
• Solcoseryl.

You can also use hydrogen peroxide. If a woman does everything right, then healing will not take long.

If the suture has come apart 1-2 months after the resolution of the burden, then the only thing to do is to re-suture it. If only a few stitches have come apart, then nothing special needs to be done. In this case, there is no threat to the life of the young mother.

Seam problems can be easily avoided. Usually, after suturing, a woman should not sit for 1-1.5 weeks. In some cases, a woman is forbidden to sit on a chair and in bed for 3-4 weeks. You can sit on the toilet the day after the procedure. You shouldn't stay long. This is especially true for those women who are at risk of developing hemorrhoids.

Often, women who have to remove postpartum sutures are in a state close to panic. But there is nothing to be afraid of, since this procedure is practically painless and takes no more than 10 minutes.

No woman is immune from ruptures during childbirth. Some newly-made mothers do not pay due attention to them, because with the birth of a baby, more important things arise. However, any suture placed by a doctor after a rupture needs to be monitored and cared for.

What are the seams and when they are applied to a woman in labor

During childbirth, for one reason or another, there is a high risk of ruptures. The doctor may resort to an episiotomy (perineal incision) to avoid injury to the fetus in the following cases:

• with the threat of perineal rupture;
• during premature or rapid childbirth;
• with pelvic presentation of the fetus;
• with inelasticity of perineal tissues or the presence of a scar left from previous births;
• in connection with problems in which it is impossible to push.

Doctors are forced to stitch:

How to handle stitches after childbirth

Usually, sutures located on the vagina and on the cervix do not require processing, but for crotch sutures, it is required. The main thing is to keep personal postpartum hygiene and don't lift heavy things. Self-absorbable threads will disappear in 2-3 weeks (depending on the degree of the suture), and the scars will heal quickly and painlessly.

Stitches after caesarean section require special care. While the woman is in the hospital, the nurse treats them with antiseptics, after which she applies a sterile bandage. After a week, non-absorbable threads are removed, and the sutures continue to be processed.

Seam treatment with Vishnevsky ointment

Ointment Vishnevsky is used for inflammation of the seams. Sterile gauze wipes are impregnated with it, which are changed 2-3 times a day for three days. The ointment has an antiseptic and local irritating effect and accelerates the regeneration processes. Contraindication to the use of the drug is its individual intolerance.

The price ranges from 20-40 rubles.

Vishnevsky's ointment is used for inflammation of the seams

Application of Chlorhexidine

Disinfection is important for internal and external seams. Chlorhexidine is applied to a sterile gauze, and then applied to the seam. Such procedures are carried out 2-3 times a day until the suture heals. Chlorhexidine - effective drug used as a disinfectant. However, it is better not to use it for dermatitis and hypersensitivity.

The cost of Chlorhexidine is about 10 rubles.

Chlorhexidine is used to disinfect external and internal postpartum sutures

How to use Bepanthen ointment

Bepanthen can be applied to the seam after each treatment. If it is no longer needed, then use the ointment after each session. hygiene procedures. Apply it with a sterile gauze pad, and if the seam is almost healed, then use ordinary cotton swabs to apply. Bepanten helps within a few hours after use, and a contraindication to its use is individual intolerance.

The cost of the drug is from 400 to 800 rubles.

Bepanthen can be applied to the seams after each hygiene procedure.

I used only Bepanten ointment, which is sure to come in handy when caring for a baby (it will help with warming, etc.). I had a small tear in the perineum, which a few months after giving birth began to itch. After using the ointment, everything went away quickly. My daughter's skin is very delicate, which sometimes causes problems with it. And again, Bepanthen ointment came in handy for me: I applied it to damaged areas of the skin under a diaper, and my daughter's skin quickly recovered.

How long does it take for stitches to heal after childbirth?

The process of suture healing can proceed in different ways. It depends on the following factors:

• general condition of the body;
• proper care;
• the size of the damage;
• materials used for suturing.

If synthetic absorbable materials are used for suturing, the wound heals in 10-14 days, and the sutures themselves will dissolve in about a month. If metal brackets and non-absorbable material are used, then they are removed at the maternity hospital, approximately on the fifth day. This usually happens before discharge. In this case, the wounds will heal longer: from two weeks to a month.

When using metal brackets, the sutures are removed at the maternity hospital - approximately on the fifth day

I have only had a small tear in my perineum once in all my pregnancies. I was discharged from the hospital on the third day, and he bothered me for another week: it was painful to sit, I could sit down only on one side of the buttocks. And then everything abruptly passed and I forgot about the breaks.

How long do stitches hurt and how to prevent it

Get ready for what discomfort and pain may be present for a long time. This is due to the following pathological reasons:

• the formation of adhesions;
• internal suppuration;
• rejection of the cross-linked material by the body, etc.

Average postoperative suture can hurt for two weeks. All situations are individual, but there are average indicators depending on the type of operation and the location of the suture:

• postpartum incessant pain in the area of ​​sutures in the perineum disappear after wound healing (approximately 10 days after childbirth);
• after caesarean section outer seam removed on the sixth day, and it heals within two to three weeks.

Before the stitches heal, get ready for the fact that they will remind you of themselves, although not regularly. You can alleviate the condition with the help of the following recommendations:

• if pain occurs when squatting or lifting weights, then you need to limit the weight of the objects being lifted and try not to sit on both buttocks;
• when the pain in the area of ​​​​the seams is accompanied by constipation, then you need to drink more fluid:
  • green tea;
  • warm milk;
  • herbal infusion;
  • juice;
• during intercourse, a natural load on the perineum occurs, vaginal dryness may occur, as a result, the stitches begin to hurt. Use a moisturizing gel or change your position to a more pain-free one;
• with tissue inflammation, the sutures can pull and hurt. These sensations are accompanied by redness, purulent discharge. Consult a gynecologist and do not risk using self-medication methods.

Pain in the suture area in the first weeks after childbirth is normal reaction organism. If there are no complications, the doctor will recommend:

• cold or warm compress(depending on the situation);
• cream;
• spray;
• candles;
• special exercises.

When the weather changes, the seams will remind of themselves for a long time. They may “wine”, which is quite normal, but over time, all discomfort should pass. Many new moms have itchy stitches. This happens due to antiseptic treatment or wound healing.

Postpartum stitches hurt when the weather changes and itch when wounds heal

Possible complications and what to do about them

A young mother should regularly inspect the seams, “listen” to her feelings. This will help to recognize the complication in time and take timely action.

Bleeding stitches

Most often, bleeding occurs due to the divergence of the seams due to the following reasons:

• frequent sitting down;
• violations of sterility;
• sudden movements;
• poor matching of tissues during suturing;
• non-observance of hygiene rules.

This complication is rare and most common in women with deep perineal tears. In this situation, you need to visit a gynecologist as soon as possible to prevent the occurrence of a purulent infection. The doctor will treat the wound with special antiseptics, and in some cases, surgery will be required.

The bleeding of the seam is not always associated with its divergence: perhaps you just move a lot and disturb it. But if appearance the seam or its soreness bothers you, it is best to visit a gynecologist.

Persistent pain in the area of ​​stitches

If you are worried about pain in the area of ​​​​the seams, then it is better to play it safe and consult a specialist. He will help solve the problem by prescribing warming up. The procedure can be carried out two weeks after the birth, one session lasts no longer than ten minutes.

Within two weeks after natural childbirth pain in the area of ​​​​the seams is fully justified, because the tissues have not yet healed. In the case of a caesarean section, pain in the suture area can disturb a woman for a month. If after this time they do not stop, then the young mother needs to see a doctor and tell him about the problem.

Feeling of heaviness in the perineum

If a young mother feels fullness, heaviness, pain in the perineum, then this may indicate the accumulation of blood and the formation of a hematoma at the site of injury. Most often, the problem manifests itself in the first three days after childbirth, when the woman is still in the hospital. She should tell the doctor about her feelings.

Painful swelling of wounds

Any deviation from the norm should be shown to the doctor. Swelling in the suture area after an episiotomy is called a keloid scar and is normal. This complication belongs to the category of cosmetic and does not pose a health hazard. Such a scar does not cause pain. It can be removed later with laser technologies or special ointments.

The cause of swelling at the seam may be inflammatory process. Unlike keloid scars, this complication is accompanied by severe pain. The seam also changes appearance: it becomes dense, and sometimes turns red. In an advanced case, pus is released from the wound. Sometimes the complication is accompanied by fever. With all these manifestations, an urgent need to contact a gynecologist. The problem with this complication is that it can pretend to be only a slight reddening for a long time and escalate at the last moment.

Fistula after childbirth

A fistula may appear at the site of the seam - a channel that connects body cavities or hollow organs to each other or to external environment. In appearance, it resembles a post-burn bubble with liquid, which periodically bursts and reappears.

The fistula resembles a post-burn fluid bubble that periodically bursts and reappears.

This complication most often occurs after episiotomy with inflammation of the suture. When a fistula appears, you need to contact a specialist.

The fistula can also be ligature (ligature - threads that are used to suture). Ligature fistula- a neoplasm that sometimes occurs after inflammation and suppuration of non-absorbable surgical threads that sew skin or mucous tissues.

Suppuration

This complication is always noticeable immediately, but it is not necessary to wait purulent discharge to define it. If a slight redness appears at the place of the seam, then in this case you need to consult a gynecologist. Usually suppuration is accompanied high temperature and swelling in the suture area. On the initial stage complications, the gynecologist will treat the wound, and in advanced cases surgery will be required.

Seam granulation

This is a neoplasm at the site of the seam, which does not develop into malignant tumor. With such a problem, you need to contact a gynecologist: usually the granulation is excised, but it can grow back. However, as practice shows, it is not recommended to do the operation in the first year after childbirth, because the body will begin to recover, the complication will resolve itself. It is not necessary to excise the neoplasm: it is recommended to do this only in case of discomfort.

I had no complications after the birth, but my friend had suppuration of the internal seams, because of which she was kept in the hospital for a long time. After each seam treatment, she left the office and climbed into a chair next to the door. On this chair, a woman got up on all fours and howled in an inhuman voice. I was very sorry for her, and it was difficult for me to imagine her pain, because I myself gave birth without breaks.

Prevention during pregnancy to prevent ruptures during childbirth

Any expectant mother I want to avoid breaks. To give birth without them, pay attention to some recommendations:

• do everything possible to give birth to a child on time;
• take care of the local "nutrition" of the perineum;
• learn to control muscles pelvic floor and the vagina, so that when trying to control the process of their own childbirth.

Preterm birth can be associated not only with physical, but also with psychological problems women. But in any case, throughout the pregnancy, a woman should not forget about exercises for pregnant women.

The expectant mother needs to take daily leisurely walks and, in general, constantly be in motion. At feeling unwell On the contrary, the loads must be limited.

To prepare the perineum for childbirth, you can carry out the oiling procedure. Moreover, experts advise oiling not only the perineum, but the whole body. To do this, you need to purchase a special oil for perineal massage. However, the procedure can be carried out using any vegetable oil. Almond is the most valuable, but you can also use sesame, olive, sunflower, flavoring it with a few drops of aromatic oil.

To avoid gaps, you need to try to give birth to a child on time

Prepare the oil and lubricate it all over the body, including intimate area. Sit for 10-15 minutes, then smear the oil again, and after 5-10 minutes, start rinsing it off. To do this, prepare the composition in advance warm water+ oatmeal, corn and pea flour. Thanks to this “porridge”, the skin is nourished beneficial substances besides, the product will absorb excess oil.

Special intimate gymnastics will help prepare the perineum for childbirth: alternate tension and relaxation of the muscles of the vagina, in which it is required to compress the muscles of the anus and the entrance to the vagina as much as possible.

I think that childbirth without ruptures is possible thanks to correct behavior women in labor: she needs to focus on the process and think about the baby. I did just that: I tried to relax and breathe, and the pain went away. Thanks to this, everything unfolded quickly. This allowed me to distract myself for a while, which was enough, and I did not call the doctors several times. But I immediately realized when it was really time to go to the chair. If you endure until right moment, then the delivery itself occurs quickly.

A woman is ready to endure the worst breakups in order to get long-awaited baby, whom she managed to fall in love with while the baby was under her heart. But a young mother is simply obliged to protect her health: she must not only know what to do if this or that complication occurs and how to care for stitches after childbirth, but also protect herself from possible problems through careful preparation during pregnancy.